Revitalized Wellness Pllc

LBN: Revitalized Wellness Pllc
Revitalized Wellness Pllc is an health care organization with primary practice located at 326 E 8Th St Apt 206 , Sioux Falls SD 57103-7038. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Revitalized Wellness Pllc can be contacted via phone (605) 423-7557, or through Ross, Kristi Lynn via phone (251) 979-9825.

Contact Information

Primary practice address
326 E 8Th St Apt 206 Sioux Falls SD 57103-7038
Phone: (605) 423-7557
Fax: (605) 305-1175
Website:
Map and Directions
Authorized official contact:
Name: Ross, Kristi Lynn FNP-C
Phone: (251) 979-9825

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1760093025
LBN Legal business name Revitalized Wellness Pllc
DBA Doing business as
Authorized official Ross, Kristi Lynn FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Mar 7th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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